Sheridan, Jill Rene
Sheridan, Jill Rene is an sole proprietor health care provider with primary practice located at 10300 W 103Rd St Suite 300, Overland Park KS 66214-2642. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Sheridan, Jill Rene can be contacted via phone (913) 894-1910.Contact Information
Primary practice address
10300 W 103Rd St Suite 300
Overland Park KS 66214-2642
Phone: (913) 894-1910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 17-01587 | Kansas |
Profile Details
| NPI number | 1205967866 |
|---|---|
| LBN Legal business name | Sheridan, Jill Rene |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205967866 | NPPES |
| Kansas | Other | 17-01587 | STATE LICENSE |
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